Volunteer Application

Thank you for your interest in becoming a National Dating Abuse Helpline peer advocate! Remember, peer advocates must be based out of the Austin, TX area.

If you're qualified, please fill out this application. You can either enter your information in the form below or download the application and submit it via mail or email. We will contact you as soon as possible if you are good fit.

Not in Austin? You can participate in our sister organization, Break the Cycle’s national volunteer program.

Contact Information

Name

Street Address

City, ST Zip

Home Phone

Cell Phone

Email Address *

Employer/School

How Did You Learn About the Volunteer Advocate Program?

Austin American Statesman

National Dating Abuse Helpline Staff

Break the Cycle Staff

| Teacher/Professor

Friend/Family Member

Other Website

References

Please list three people not related to you whom we may contact for a character reference. Please note that one must be a current/previous employer, professor, teacher or previous volunteer supervisor. Only list your current employer if it is ok for us to contact them.

Reference 1

Name

Relationship

Email Address

Phone

Reference 2

Name

Relationship

Email Address

Phone

Reference 3

Name

Relationship

Email Address

Phone

What Is Your Previous Volunteer Experience?

Please summarize your previous volunteer experience (including length of service, organization, position).

Why Do You Want to Volunteer With Us?

What Do You Know About Dating Abuse and Domestic Violence?

Describe any Relevant Personal, Professional or Educational Experiences.

List Three Adjectives That Describe You.

Can You Commit Two to Four Hours per Week (Minimum Eight Hours per Month)?

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal or ineligibility for the volunteer advocate program. I understand that loveisrespect.org is not obligated in any way to accept me into the training program by submission of this application.

Name

Date

Upload Signed Volunteer Agreement

Download our Volunteer Agreement here. Fill it out, scan it and submit below.

Our Policy

It is the policy of National Dating Abuse Helpline to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.

Thank you for completing this application form and for your interest in volunteering with us.

Dating Basics

Is This Abuse?

Get Help

Take Action

College Resources

Youth Advisory Board

Volunteer Application

Our Policy